As a courtesy, Radiology Associates will bill your insurance company for your services provided today. You are responsible for providing the correct and most current insurance information. You may be liable for any services you receive if you fail to provide the correct insurance information in a timely manner.
Medicare does not require authorization for your radiology services, which are covered by Medicare Part B.
An ABN is an Advanced Beneficiary Notice of NonCoverage. It advises you that Medicare may not pay for the service you are receiving today. If Medicare doesn’t pay, you agree to pay a reduced fee for this service you are receiving today.
Medicare does not require authorization for your radiology services. All other insurance carriers will usually require an authorization for CT Scans, MRI’s, MRA’s, PET Scans and Nuclear Medicine. Because each insurance carrier has different requirements, based on your policy or plan, we encourage you to contact the telephone # on the back of your insurance ID card for more information about authorization for your medical care, prior to receiving the services.
As a courtesy, Radiology Associates will bill your insurance company for your services provided today. You are responsible for providing the correct and most current insurance information. You may be liable for any services you receive if you fail to provide the correct insurance information in a timely manner.
Most PPO and HMO insurance carriers require authorization for CT Scans, MRI’s, MRA’s, PET or Nuclear Medicine.
The MD that is ordering your radiology test should contact your insurance carrier to request the authorization for your services.
Your insurance carrier states that authorization is not a guarantee of payment. Payment is determined based on your eligibility, your benefits, satisfaction of your deductible, co-payment or co-insurance as well the insurance company’s determination of medical necessity of the test.
A deductible is the amount you must pay out of pocket (annually) before your insurance will begin paying.
A co-payment is a fixed dollar amount that you will pay per visit, based on the type of service and / or location of the service (This information is usually indicated on your insurance ID card).
Co-insurance is based on a percentage of the amount your insurance company will allow for the radiology services you receive today. Example: 80/20 means your insurance company will pay 80% of what they allow, you will pay 20% of what your insurance will allow. 70/30% means your insurance company will pay 70% of what they allow, you will pay 30% of what your insurance will allow, etc.
Your deductibles must be paid annually, your co-payment or co-insurance is due based on each date of service. If you haven’t satisfied your annual deductible, you may be responsible for both the annual deductible and a co-payment or co-insurance.